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The Subfascial Approach to Primary and Secondary Breast Augmentation with Autologous Fat Grafting and Form-Stable
João Carlos Sampaio Goes1, Alexandre Mendonça Munhoz2, Rolf Gemperli3
1Department of Plastic Surgery, Hospital Albert Einstein, Avenida Albert Einsten, 627/701 - Morumbi, São Paulo - SP 05652-900, Brazil; Breast Surgery and Plastic Surgery Department, Instituto Brasileiro do Controle do Câncer, Av. Alcântara Machado, 2576 - Móoca, São Paulo - SP 03102-002, Brazil.
Abstract:
This article presents an overview of the subfascial approach to primary and secondary breast augmentation with form-stable implants associated with autologous fat grafting. Although breast augmentation is a well-studied procedure, there are few previous reports concerning the subfascial technique and, especially, this technique associated with lipofilling. Consequently, the authors present their experience with a form-stable, anatomically shaped silicone gel breast implant, which has recently been approved in the United States following FDA clinical trials. Primary and secondary breast augmentations using form-stable implants resulted in satisfactory outcomes.
